Real-time data collection

Submitted data is stored in databases.

Analysis and Alerts

Data is transformed into information that can be visualized and actionable (e.g. alerts conditionally sent out)

SAAS (Software As  A Service) Model

No hardware to buy or maintain, but based on #’s I’ve been given, the price isn’t cheap.

Integration with Existing systems (e.g. EMR)

Solutions:

HealthConnect:

Helps notify / prod people into living more healthy lives. They work with academics & industry partners to develp the content & programs, but they also provide custom solutions.

Health Connect Services:

1. Smoking Cessation
2. Pregnancy
3. Diabetes
4. HIV/AIDS
5. Flu
6. Immunization

Interaction with MHealth (creating, adding, editing & viewing information) happens through web forms.

HealthWatch: Disease Surveillance

A tool built for governments & public health agencies to detect outbreaks and get more timely information from the field.

1. Disease Reporting
2. Database Mining
3. Outbreak Detection and Analysis
4. Alerts on Health Events
5. Case Investigation
6. Outbreak Management

HealthNet: Health Management Information System

HealthNet is a scalable and secure Health Management Information System (HMIS) designed to support real-time collection, analysis, and exchange of critical health data. Example, tracking anti-viral treatment in Rwanda: [Link]

1. Real-Time Data Collection
2. Management Dashboard, Data Mapping and Analysis
3. Automated Notification
4. Information Services
5. Field Support

Custom Solutions: Leveraging mHealth

Voxiva leverages mHealth to provide solutions deployed in geographically diverse regions.

Partners: Varied

See their [LINK]

Health Organizations

• Rockefeller Foundation
• HHS
• CDC Foundation
• CDC
• CARSO Health Institute
• UN Foundation
• PEPFAR
• SCMS
• HMHB

Industry Partners:

• Grey Healthcare Group
• Johnson & Johnson
• WPP
• Quinnian Health
• Accenture

Academic & Research Partners:

• Columbia University
• University of Cayetano, Peru
• KIST
• Tulane University
• George Washington University

Technology & Telecom:

• Motorola
• MTN
• Verisign
• Microsoft
• GSM Association
• Telcel
• America Movil

Voxiva / Mobile Health in USA

CTIA.org has an article that indicates eight in ten Americans (78%) expressed interest in mHealth (or mobile health) solutions and more than one in ten (15%) said they were extremely/very interested in learning more about it.  Interest in mHealth service options was so strong that nearly 1 in 5 (19%) people surveyed said they would upgrade their existing wireless plan to participate and 11% said they would even consider switching wireless providers to receive mobile healthcare services.

• 1 IN 5 (19%) indicated tey would upgrade their mobile service to get healthcare news on their mobile phones.

100% Mobile Phone penetration in USA by 2013

Engadget indicates 100% penetration is imminent  [ 2007 ]

According to [ weblog.cenriqueortiz.com ] With 88% penetration in 2008 and 104% penetration by 2014 in the United States. The above numbers for the US matches the penetration numbers reported by CTIA for 2008 of 88%.

According to [ pr-usa.net ] By 2012, the percentage of U.S. physicians using smartphones will increase to 81%. The current rate of penetration is 64%.

Given such strong presence of mobile phones, Voxiva would seem a natural candidate, but given the penetration of smart phones (IPhone, Android, etc..) SMS may be less important. But having a platform that can service anyone anywhere anytime is a powerful offering.

In an blog entry found here: http://histalk2.com/2009/11/11/histalk-interviews-paul-meyer/, Voxiva co-founder Paul Meyer said this in regards to USA adoption of mobile health:

We focus on trying to leverage and define innovative solutions for solving important problems. We believe if we can do that, we’ll get paid for it and make money at it.

Henry Ford had a pretty good line on this — a company whose only purpose is making money has no reason for being.

 

In the rest of the world, in emerging market countries, there was no alternative. There was no Internet to reach those people. Necessity being the mother of invention, people went right to mobile.

Secondly, the U.S. is the only country in the world where you actually pay to receive text messaging on cell phones. That’s also been a barrier to the adoption. Not just to health applications, but mobile applications in general.

…

the real reason that the U.S. is behind on mobile is because we have the Web.

…

I think obviously the U.S. is waking up to this. Secretary Sebelius last week gave a great speech… One of the things I was really gratified to hear in her speech last week was that the importance she attaches to mobile phones as a tool for really informing and engaging your power in patients, seeing the mobile phone as the obvious extender of electronic health records.

We then took some of the Pew Research data and looked at the Internet vs. cell phone penetration among the sub-populations with the highest infant mortality. There was just a 20-30% gap between broadband Internet and cell phone penetration in the population that we’re trying to reach.

African-Americans and Hispanics are disproportionately much higher users of SMS and other mobile data services because they have a relatively lower level of internet access. If one is looking at how to extend and improve health services and extend healthcare to under-served and low-income populations, the mobile phone is an even more indispensable tool.

We’ve done a lot of work in improving adherence and compliance in HIV/AIDS care treatment. There have been some really, some good studies showing improved efficacy of weight loss programs when enhanced by a mobile service. It’s still early, but I think there are some good initial studies showing the improved health outcomes in these kinds of interventions.

Given Widespread adoption of Mobile Phones…

Healthcare 2.0 would do well to focus on the prevalence of mobile phones in the market place. The ability to engage patients over various media can only strengthen a platform. Though computer penetration will increase, it will undoubtedly lag mobile adoption. A platform that can transmit important health information over various channels will be at a significant advantage.

Ideal ubiquitous broadcast medium:

• Web & Mobile web
• Smart Phone Applications (providing rich user experiences)
• SMS (texting) servies
• Email notifications
• Social Media (Twitter, Facebook, etc…)
• Fax
• Mail Merge (snail mail – postal service)
• IVR (telephony)

Conclusion:

Voxiva is in a good position to provide healthcare information to Americans (USA) and most every other person on earth.